Care Transition Coordination

A Smoother Path Home After the Hospital.

Care Transition Coordination - known in healthcare as transitional care or post-hospital care support - helps your loved one return home safely after a hospital or skilled nursing stay.

2,700+

Members served across Washington State

70+

Experienced care coordinators

#1

Largest Care Coordination Organization in Washington state

THE POST DISCHARGE GAP

What is Transitional Care?

Transitional care called Care Transition Coordination under Washington's WA Cares Fund is short‒term support that bridges the gap between a hospital or skilled nursing discharge and a safe recovery at home. It typically covers medication reconciliation, follow‒up scheduling, provider communication, and family education during the first months.

Why Transitional Care Matters After a Hospital Discharge

For many seniors, the weeks after discharge are the most vulnerable moment in their care. Medications change. Follow-up appointments multiply. Family members are overwhelmed and the clinical team that managed everything is no longer in the picture. Bridging Care assigns a dedicated Care Coordinator at the point of discharge and stays as long as the family needs support.

Nearly one in five Medicare patients is readmitted within 30 days of discharge ‒ most often because medications, follow ups, and home support were never fully coordinated. That is the gap this program closes.

What's included

What Your Care Transition Coordinator Manages

Our transitional care services starts fast: one of our care coordinators contacts you within two business days of discharge, and it's not just a scheduling call. Your service window begins the day you leave and runs one to two months, per DSHS contract terms, with telehealth visits, in-home visits, or both, so care follows you home.

Discharge Summary Review

We review your discharge summary and follow up on pending tests and treatments so nothing gets missed.

Medication Reconciliation

We go through every medication against your discharge orders so nothing conflicts or falls through.

Provider Coordination

We coordinate with your treating providers and help schedule the follow-up appointments that keep recovery on track.

Community Resources & Referrals

We connect you with community resources and referrals as needs come up during your recovery.

Patient & Family Education

We teach you, your family, and your caregivers how to manage the transition home with confidence.

Telehealth & In-Home Visits

Care follows you home with telehealth visits, in-home visits, or both, whatever works best for you.

Payment options

Two Ways to Get Started:

WA Cares Fund or Private Pay

Bridging Care provides two different ways to start Care Transition Coordination services to ensure you and your family get the care you need.

WA Cares Fund

Bridging Care is a registered WA Cares Fund provider for Care Transition Coordination. The WA Cares Fund helps eligible Washington residents pay for long-term care services that support independence and aging in place.

If you qualify, you may access up to approximately $36,500 in lifetime benefits toward covered services from an approved provider like Bridging Care.

Apply for WA Cares

Private Pay

Prefer to start right away? Private pay lets you begin Care Transition Coordination without waiting on a WA Cares application or approval. You choose the level of support that fits your family, and services can begin within days.

WA Cares Fund

Using Your WA Cares Benefits for Care Transition

The WA Cares Fund helps eligible Washington residents access covered long-term care services and supports that promote independence and aging in place. Bridging Care is currently contracted to provide Care Transition Coordination under WA Cares.

How clients access WA Cares services for Transition Care:

1. Apply for WA Cares benefits at wacaresfund.wa.gov/apply. DSHS reviews eligibility, and your approval letter and benefit information arrive by mail

2. Contact Bridging Care directly

3. We review eligibility, discuss services, and verify available benefit funds, then submit a pre-authorization through ProviderOne

4. You, or your legal representative, approve the authorization in your WA Cares account, and services begin after approval

Why Bridging Care

Why Families Choose Bridging Care

Largest Care Coordinator Organization in WA state

2700+ Members Served

70+ Trusted Care Coordinators

Frequently Asked Questions

Still have questions?

What is the difference between private pay and WA Cares?

How long does the WA Cares process take?

Does Bridging Care provide all WA Cares covered services?

What is your service area?

What happens after I book a consultation?

What is the difference between transitional care and home care?

How soon after discharge can services start?

Does WA Cares cover transitional care?

For healthcare professionals

Referring a Patient

Refer a patient to Bridging Care's Care Transition Coordination Program. We coordinate directly with your team to support a safe transition home, including medication review, follow-up scheduling, and caregiver education. Call (844) 224-3578 or email info@bridging.care to submit a referral.

01

Discharge Planners

Hand off patients with confidence. We make contact within two business days of discharge.

02

Hospital Case Managers

We review discharge instructions and reconcile medications so your plan carries through at home.

03

Nursing Homes

We support residents heading home with follow-up scheduling and family caregiver education.

04

Senior Living Teams

We keep your community informed and connect residents to the right community resources.

Care Transition Coordination

Transition Home Should be Smooth and Safe.

Transition is a big step. Let's connect and discuss how our team can help make it safer and less stressful.